Mobile access to Health Documents (MHD)
4.2.2 - Trial-Implementation
This page is part of the IHE Mobile Access to Health Documents (v4.2.2: Publication) based on FHIR (HL7® FHIR® Standard) R4. This is the current published version. For a full list of available versions, see the Directory of published versions
<Bundle xmlns="http://hl7.org/fhir">
<id value="ex-comprehensiveProvideDocumentBundleDocument"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.ProvideBundle"/>
<security>
<system value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
</security>
</meta>
<type value="transaction"/>
<timestamp value="2004-10-25T23:50:50-05:00"/>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300001"/>
<resource>
<List>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00333300001"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.SubmissionSet"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
</security>
</meta>
<text>
<status value="extensions"/>
<div xmlns="http://www.w3.org/1999/xhtml">SubmissionSet with Patient</div>
</text>
<extension
url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-designationType">
<valueCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="225728007"/>
</coding>
</valueCodeableConcept>
</extension>
<extension
url="https://profiles.ihe.net/ITI/MHD/StructureDefinition/ihe-sourceId">
<valueIdentifier>
<value value="urn:oid:1.2.3.4"/>
</valueIdentifier>
</extension>
<identifier>
<use value="official"/>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:5d3d3a7d-82a6-4fe0-8d87-ee2cb87fa219"/>
</identifier>
<identifier>
<use value="usual"/>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:oid:1.2.129.6.58.92.88337.1"/>
</identifier>
<status value="current"/>
<mode value="working"/>
<code>
<coding>
<system
value="https://profiles.ihe.net/ITI/MHD/CodeSystem/MHDlistTypes"/>
<code value="submissionset"/>
</coding>
</code>
<subject>🔗
<reference value="Patient/ex-patient"/>
</subject>
<date value="2004-10-25T23:50:50-05:00"/>
<entry>
<item>
<reference value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300002"/>
</item>
</entry>
</List>
</resource>
<request>
<method value="POST"/>
<url value="List"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300002"/>
<resource>
<DocumentReference>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00333300002"/>
<meta>
<profile
value="https://profiles.ihe.net/ITI/MHD/StructureDefinition/IHE.MHD.Comprehensive.DocumentReference"/>
<security>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActReason"/>
<code value="HTEST"/>
</security>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"><a name="DocumentReference_aaaaaaaa-bbbb-cccc-dddd-e00333300002"> </a><p><b>Generated Narrative: DocumentReference</b><a name="aaaaaaaa-bbbb-cccc-dddd-e00333300002"> </a><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00333300002"> </a></p><div style="display: inline-block; background-color: #d9e0e7; padding: 6px; margin: 4px; border: 1px solid #8da1b4; border-radius: 5px; line-height: 60%"><p style="margin-bottom: 0px">ResourceDocumentReference "aaaaaaaa-bbbb-cccc-dddd-e00333300002" </p><p style="margin-bottom: 0px">Profile: <a href="StructureDefinition-IHE.MHD.Comprehensive.DocumentReference.html">MHD DocumentReference Comprehensive</a></p><p style="margin-bottom: 0px">Security Labels: <span title="{http://terminology.hl7.org/CodeSystem/v3-ActReason http://terminology.hl7.org/CodeSystem/v3-ActReason}">http://terminology.hl7.org/CodeSystem/v3-ActReason</span></p></div><p><b>masterIdentifier</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0</p><p><b>identifier</b>: <a href="http://terminology.hl7.org/5.3.0/NamingSystem-uri.html" title="As defined by RFC 3986 (http://www.ietf.org/rfc/rfc3986.txt)(with many schemes defined in many RFCs). For OIDs and UUIDs, use the URN form (urn:oid:(note: lowercase) and urn:uuid:). See http://www.ietf.org/rfc/rfc3001.txt and http://www.ietf.org/rfc/rfc4122.txt
This oid is used as an identifier II.root to indicate the the extension is an absolute URI (technically, an IRI). Typically, this is used for OIDs and GUIDs. Note that when this OID is used with OIDs and GUIDs, the II.extension should start with urn:oid or urn:uuid:
Note that this OID is created to aid with interconversion between CDA and FHIR - FHIR uses urn:ietf:rfc:3986 as equivalent to this OID. URIs as identifiers appear more commonly in FHIR.
This OID may also be used in CD.codeSystem.">Uniform Resource Identifier (URI)</a>/urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d (use: official)</p><p><b>status</b>: current</p><p><b>type</b>: Attending Discharge summary <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#28655-9)</span></p><p><b>category</b>: History of Immunization Narrative <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://loinc.org/">LOINC</a>#11369-6)</span></p><p><b>subject</b>: <a href="Patient-ex-patient.html">Patient/ex-patient</a> " SCHMIDT"</p><p><b>date</b>: Feb 1, 2020, 10:50:50 PM</p><p><b>author</b>: <a name="hcaaaaaaaa-bbbb-cccc-dddd-e00333300006"> </a></p><blockquote><p/><p><a name="aaaaaaaa-bbbb-cccc-dddd-e00333300006"> </a></p><p><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00333300006"> </a></p><p><b>identifier</b>: <code>http://www.acme.org/practitioners</code>/23</p><p><b>name</b>: Adam Careful </p></blockquote><p><b>securityLabel</b>: normal <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="http://terminology.hl7.org/5.5.0/CodeSystem-v3-Confidentiality.html">Confidentiality</a>#N)</span></p><blockquote><p><b>content</b></p><h3>Attachments</h3><table class="grid"><tr><td style="display: none">-</td><td><b>ContentType</b></td><td><b>Language</b></td><td><b>Url</b></td><td><b>Title</b></td><td><b>Creation</b></td></tr><tr><td style="display: none">*</td><td>application/fhir+json</td><td>en</td><td><code>urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003</code></td><td>Discharge Summary from Responsible Clinician</td><td>2013-05-28 22:12:21+0000</td></tr></table><p><b>format</b>: mimeType Sufficient (Details: IHE Format Code set for use with Document Sharing code urn:ihe:iti:xds:2017:mimeTypeSufficient = 'mimeType Sufficient', stated as 'null')</p></blockquote><h3>Contexts</h3><table class="grid"><tr><td style="display: none">-</td><td><b>Encounter</b></td><td><b>FacilityType</b></td><td><b>PracticeSetting</b></td><td><b>SourcePatientInfo</b></td></tr><tr><td style="display: none">*</td><td><a href="Bundle-ex-fhir-document-bundle.html#http-//example.org/fhir/Encounter/doc-example">http://example.org/fhir/Encounter/doc-example</a></td><td>Children's hospital <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOWMED CT</a>#82242000)</span></td><td>Adult mental illness - specialty (qualifier value) <span style="background: LightGoldenRodYellow; margin: 4px; border: 1px solid khaki"> (<a href="https://browser.ihtsdotools.org/">SNOWMED CT</a>#408467006)</span></td><td><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00333300004"> </a><blockquote><p/><p><a name="aaaaaaaa-bbbb-cccc-dddd-e00333300004"> </a></p><p><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00333300004"> </a></p><p><b>identifier</b>: <code>http://example.org/patients</code>/mrn-1234</p><p><b>name</b>: Dee Schmidt </p></blockquote></td></tr></table><hr/><blockquote><p style="border: 1px #661aff solid; background-color: #e6e6ff; padding: 10px;"><b>Dee Schmidt </b> (no stated gender), DoB Unknown ( <code>http://example.org/patients</code>/mrn-1234)</p><hr/></blockquote><hr/><blockquote><p><b>Generated Narrative: Practitioner #aaaaaaaa-bbbb-cccc-dddd-e00333300006</b><a name="aaaaaaaa-bbbb-cccc-dddd-e00333300006"> </a><a name="hcaaaaaaaa-bbbb-cccc-dddd-e00333300006"> </a></p><p><b>identifier</b>: <code>http://www.acme.org/practitioners</code>/23</p><p><b>name</b>: Adam Careful </p></blockquote></div>
</text>
<contained>
<Patient>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00333300004"/>
<identifier>
<system value="http://example.org/patients"/>
<value value="mrn-1234"/>
</identifier>
<name>
<family value="Schmidt"/>
<given value="Dee"/>
</name>
</Patient>
</contained>
<contained>
<Practitioner>
<id value="aaaaaaaa-bbbb-cccc-dddd-e00333300006"/>
<identifier>
<system value="http://www.acme.org/practitioners"/>
<value value="23"/>
</identifier>
<name>
<family value="Careful"/>
<given value="Adam"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</contained>
<masterIdentifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"/>
</masterIdentifier>
<identifier>
<use value="official"/>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:7d5bb8ac-68ee-4926-85e7-b8aac8e1f09d"/>
</identifier>
<status value="current"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="28655-9"/>
</coding>
</type>
<category>
<coding>
<system value="http://loinc.org"/>
<code value="11369-6"/>
</coding>
</category>
<subject>🔗
<reference value="Patient/ex-patient"/>
</subject>
<date value="2020-02-01T23:50:50-05:00"/>
<author>
<reference value="#aaaaaaaa-bbbb-cccc-dddd-e00333300006"/>
</author>
<securityLabel>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/v3-Confidentiality"/>
<code value="N"/>
</coding>
</securityLabel>
<content>
<attachment>
<contentType value="application/fhir+json"/>
<language value="en"/>
<url value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003"/>
<title value="Discharge Summary from Responsible Clinician"/>
<creation value="2013-05-28T22:12:21Z"/>
</attachment>
<format>
<system
value="http://ihe.net/fhir/ihe.formatcode.fhir/CodeSystem/formatcode"/>
<code value="urn:ihe:iti:xds:2017:mimeTypeSufficient"/>
</format>
</content>
<context>
<encounter>
<reference value="http://example.org/fhir/Encounter/doc-example"/>
</encounter>
<facilityType>
<coding>
<system value="http://snomed.info/sct"/>
<code value="82242000"/>
</coding>
</facilityType>
<practiceSetting>
<coding>
<system value="http://snomed.info/sct"/>
<code value="408467006"/>
</coding>
</practiceSetting>
<sourcePatientInfo>
<reference value="#aaaaaaaa-bbbb-cccc-dddd-e00333300004"/>
</sourcePatientInfo>
</context>
</DocumentReference>
</resource>
<request>
<method value="POST"/>
<url value="DocumentReference"/>
</request>
</entry>
<entry>
<fullUrl value="urn:uuid:aaaaaaaa-bbbb-cccc-dddd-e00333300003"/>
<resource>
<Bundle>
<id value="father"/>
<meta>
<lastUpdated value="2013-05-28T22:12:21Z"/>
</meta>
<identifier>
<system value="urn:ietf:rfc:3986"/>
<value value="urn:uuid:0c3151bd-1cbf-4d64-b04d-cd9187a4c6e0"/>
</identifier>
<type value="document"/>
<timestamp value="2013-05-28T22:12:21Z"/>
<entry>
<fullUrl
value="http://example.org/fhir/Composition/180f219f-97a8-486d-99d9-ed631fe4fc57"/>
<resource>
<Composition>
<id value="180f219f-97a8-486d-99d9-ed631fe4fc57"/>
<meta>
<lastUpdated value="2013-05-28T22:12:21Z"/>
</meta>
<status value="final"/>
<type>
<coding>
<system value="http://loinc.org"/>
<code value="28655-9"/>
</coding>
<text value="Discharge Summary from Responsible Clinician"/>
</type>
<subject>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<encounter>
<reference
value="http://example.org/fhir/Encounter/doc-example"/>
</encounter>
<date value="2013-02-01T12:30:02Z"/>
<author>🔗
<reference value="Practitioner/ex-practitioner"/>
</author>
<title value="Discharge Summary"/>
<confidentiality value="N"/>
<section>
<title value="Reason for admission"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="29299-5"/>
<display value="Reason for visit Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Details</td>
<td/>
</tr>
</thead>
<tbody>
<tr>
<td>Acute Asthmatic attack. Was wheezing for days prior to admission.</td>
<td/>
</tr>
</tbody>
</table>
</div>
</text>
<entry>
<reference
value="urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"/>
</entry>
</section>
<section>
<title value="Medications on Discharge"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="10183-2"/>
<display
value="Hospital discharge medications Narrative"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Medication</td>
<td>Last Change</td>
<td>Last ChangeReason</td>
</tr>
</thead>
<tbody>
<tr>
<td>Theophylline 200mg BD after meals</td>
<td>continued</td>
</tr>
<tr>
<td>Ventolin Inhaler</td>
<td>stopped</td>
<td>Getting side effect of tremor</td>
</tr>
</tbody>
</table>
</div>
</text>
<mode value="working"/>
<entry>
<reference
value="urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"/>
</entry>
<entry>
<reference
value="urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"/>
</entry>
</section>
<section>
<title value="Known allergies"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="48765-2"/>
<display
value="Allergies and adverse reactions Document"/>
</coding>
</code>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<table>
<thead>
<tr>
<td>Allergen</td>
<td>Reaction</td>
</tr>
</thead>
<tbody>
<tr>
<td>Doxycycline</td>
<td>Hives</td>
</tr>
</tbody>
</table>
</div>
</text>
<entry>
<reference
value="urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"/>
</entry>
</section>
</Composition>
</resource>
</entry>
<entry>
<fullUrl
value="http://example.org/fhir/Practitioner/ex-practitioner"/>
<resource>
<Practitioner>
<id value="ex-practitioner"/>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Dr Adam Careful</p>
</div>
</text>
<identifier>
<system value="http://www.acme.org/practitioners"/>
<value value="23"/>
</identifier>
<name>
<family value="Careful"/>
<given value="Adam"/>
<prefix value="Dr"/>
</name>
</Practitioner>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Patient/ex-patient"/>
<resource>
<Patient>
<id value="ex-patient"/>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<h1>Eve Everywoman</h1>
</div>
</text>
<active value="true"/>
<name>
<text value="Eve Everywoman"/>
<family value="Everywoman1"/>
<given value="Eve"/>
</name>
<telecom>
<system value="phone"/>
<value value="555-555-2003"/>
<use value="work"/>
</telecom>
<gender value="female"/>
<birthDate value="1955-01-06"/>
<address>
<use value="home"/>
<line value="2222 Home Street"/>
</address>
</Patient>
</resource>
</entry>
<entry>
<fullUrl value="http://example.org/fhir/Encounter/doc-example"/>
<resource>
<Encounter>
<id value="doc-example"/>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml"> Admitted to Orthopedics Service,
Middlemore Hospital between Jan 20 and Feb ist 2013 </div>
</text>
<identifier>
<value value="S100"/>
</identifier>
<status value="finished"/>
<class>
<system
value="http://terminology.hl7.org/CodeSystem/v3-ActCode"/>
<code value="IMP"/>
<display value="inpatient encounter"/>
</class>
<type>
<text value="Orthopedic Admission"/>
</type>
<subject>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<period>
<start value="2013-01-20T12:30:02Z"/>
<end value="2013-02-01T12:30:02Z"/>
</period>
<hospitalization>
<dischargeDisposition>
<text value="Discharged to care of GP"/>
</dischargeDisposition>
</hospitalization>
</Encounter>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:541a72a8-df75-4484-ac89-ac4923f03b81"/>
<resource>
<Observation>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="additional"/>
<div xmlns="http://www.w3.org/1999/xhtml"> Acute Asthmatic attack. Was wheezing
for days prior to admission. </div>
</text>
<status value="final"/>
<code>
<coding>
<system value="http://loinc.org"/>
<code value="46241-6"/>
</coding>
<text value="Reason for admission"/>
</code>
<subject>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<encounter>
<reference
value="http://example.org/fhir/Encounter/doc-example"/>
</encounter>
<valueString
value="Acute Asthmatic attack. Was wheezing for days prior to admission."/>
</Observation>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:124a6916-5d84-4b8c-b250-10cefb8e6e86"/>
<resource>
<MedicationRequest>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Theophylline 200mg twice a day</p>
</div>
</text>
<status value="unknown"/>
<intent value="order"/>
<medicationCodeableConcept>
<coding>
<system value="http://snomed.info/sct"/>
<code value="66493003"/>
</coding>
<text value="Theophylline 200mg"/>
</medicationCodeableConcept>
<subject>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<requester>
<reference
value="http://example.org/fhir/Practitioner/ex-practitioner"/>
</requester>
<reasonCode>
<text value="Management of Asthma"/>
</reasonCode>
<dosageInstruction>
<additionalInstruction>
<text value="Take with Food"/>
</additionalInstruction>
<timing>
<repeat>
<frequency value="2"/>
<period value="1"/>
<periodUnit value="d"/>
</repeat>
</timing>
<route>
<coding>
<system value="http://snomed.info/sct"/>
<code value="394899003"/>
<display value="oral administration of treatment"/>
</coding>
</route>
<doseAndRate>
<type>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/dose-rate-type"/>
<code value="ordered"/>
<display value="Ordered"/>
</coding>
</type>
<doseQuantity>
<value value="1"/>
<unit value="tablet"/>
<system
value="http://terminology.hl7.org/CodeSystem/v3-orderableDrugForm"/>
<code value="TAB"/>
</doseQuantity>
</doseAndRate>
</dosageInstruction>
</MedicationRequest>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:673f8db5-0ffd-4395-9657-6da00420bbc1"/>
<resource>
<MedicationStatement>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">
<p>Ventolin inhaler discontinued</p>
</div>
</text>
<status value="active"/>
<statusReason>
<text value="Management of Asthma"/>
</statusReason>
<medicationCodeableConcept>
<text value="Ventolin Inhaler"/>
</medicationCodeableConcept>
<subject>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</subject>
<dateAsserted value="2013-05-05T16:13:03Z"/>
</MedicationStatement>
</resource>
</entry>
<entry>
<fullUrl value="urn:uuid:47600e0f-b6b5-4308-84b5-5dec157f7637"/>
<resource>
<AllergyIntolerance>
<meta>
<lastUpdated value="2013-05-05T16:13:03Z"/>
</meta>
<text>
<status value="generated"/>
<div xmlns="http://www.w3.org/1999/xhtml">Sensitivity to Doxycycline :
Hives</div>
</text>
<clinicalStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-clinical"/>
<code value="active"/>
<display value="Active"/>
</coding>
</clinicalStatus>
<verificationStatus>
<coding>
<system
value="http://terminology.hl7.org/CodeSystem/allergyintolerance-verification"/>
<code value="confirmed"/>
<display value="Confirmed"/>
</coding>
</verificationStatus>
<type value="allergy"/>
<criticality value="high"/>
<code>
<text value="Doxycycline"/>
</code>
<patient>
<reference
value="http://example.org/fhir/Patient/ex-patient"/>
</patient>
<recordedDate value="2012-09-17"/>
<reaction>
<manifestation>
<text value="Hives"/>
</manifestation>
</reaction>
</AllergyIntolerance>
</resource>
</entry>
</Bundle>
</resource>
<request>
<method value="POST"/>
<url value="Bundle"/>
</request>
</entry>
</Bundle>